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Borrelia burgdorferi infection has been linked to a variety of psychiatric disturbances, including inappropriate laughter,1 obsessive-compulsive disorder, 2 and visual hallucinations.3 We report a case of Borrelia infection presenting with suicide attempts and alexithymia, which to our knowledge has not been previously reported.

Mr A, a 44-year-old business executive with no past psychiatric or neurologic history, was admitted to our hospital after a third aborted suicide attempt.